Daniel Abram Driscoll, MD/PHD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

34024 Issued in CO

Practice address

108 Arizona St
Bisbee, AZ 85603-1804

Phone

(520) 432-3309

Fax

(520) 364-4261

NPI assigned

Nov 8, 2006

Last updated

Jul 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.driscol.p1@direct.cchci.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Chiricahua Community Health Centers Inc

  dba Douglas Acute Care, Laboratory, and Pharmacy

  • Federally Qualified Health Center (FQHC)
  • Douglas, AZ
  • NPI 1124803648

  Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership
• Chiricahua Community Health Centers, Inc

  dba Chiricahua Community Health Centers, INC-Bisbee Clinic

  • Federally Qualified Health Center (FQHC)
  • Bisbee, AZ
  • NPI 1063540144

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Chiricahua Community Health Centers, Inc

  dba Cchci

  • Federally Qualified Health Center (FQHC)
  • Sierra Vista, AZ
  • NPI 1184407546

  Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership
• Chiricahua Community Health Centers, Inc

  dba Sierra Vista Behavioral Health Center

  • Federally Qualified Health Center (FQHC)
  • Sierra Vista, AZ
  • NPI 1205547288

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• Chiricahua Community Health Centers, Inc

  dba Chiricahua Community Health Centers, Inc - Bisbee

  • Federally Qualified Health Center (FQHC)
  • Bisbee, AZ
  • NPI 1710462593

  Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chiricahua Community Health Centers, Inc

  dba Business Office

  • Federally Qualified Health Center (FQHC)
  • Douglas, AZ
  • NPI 1942241443
  Medicare reassignment NPD
• Future Hope Clinic LLC

  • Pediatrics Physician
  • Pueblo, CO
  • NPI 1831520667
  NPD (past) Authorized official
• Chiricahua Community Health Centers, Inc

  dba Chiricahua Community Health Centers, INC-Bisbee Clinic

  • Federally Qualified Health Center (FQHC)
  • Bisbee, AZ
  • NPI 1063540144
  NPD
• Chiricahua Community Health Centers, Inc.

  dba Willcox Clinic

  • Federally Qualified Health Center (FQHC)
  • Willcox, AZ
  • NPI 1285488866
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1689744591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N F AVE",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856071920",
            "telephone_number": "520-364-1429",
            "fax_number": "520-515-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 ARIZONA ST",
            "city": "BISBEE",
            "state": "AZ",
            "postal_code": "856031804",
            "telephone_number": "520-432-3309",
            "fax_number": "520-364-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "DANIEL",
        "middle_name": "ABRAM",
        "name_prefix": "Dr.",
        "credential": "MD/PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "34024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• W Patrick Coghlan, MD
• Community Bridges, Inc. (Women's Transition Project)
• Community Intervention Associates, Inc. (Community Intervention Associates)
• Cheryl Dehaven, MA, LPC, NCC
• Arleene Evelynne Djordjevic, FNP
• Jennifer E. Druckman, LCSW
• Jessica Lee Fontes, MD
• Frances Jones Dba Oxicheck NW
• Mirna Lorena Franco, PMHNP
• Denice Maylene Gaddie, ACUPUNCTURIST

• Pediatrics Physician in Bisbee, AZ
• Providers in Bisbee, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.